[Kidney injuries. Apropos of 30 cases].
Renal trauma remains a topical subject due to its high incidence and the fact that it still raises therapeutic problems. The features of this disease were reviewed by means of a retrospective study of 30 cases of renal trauma observed over a 10-year period. The patients consisted of 27 males (90%) and 3 females (10%), with a mean age of 27 years (range: 20 to 60 years). The aetiology was largely dominated by road accidents (53%), falls (26%) and assaults (16%). Trauma was unilateral, predominantly affecting the left side (60%). The clinical features were dominated by haematuria (93%) and low back pain (90%). Trauma was associated with skeletal or visceral lesions in 46.6% of patients. Assessment of the lesions was based on IVU, ultrasonography and CT. Eight patients (26.6%) presented with moderate or minimal trauma (Chatelain stage 1 and 2) and were treated medically. Twenty-two patients (73%) were operated: 6 of them underwent total nephrectomy and 16 were treated conservatively. Seven of the operated patients subsequently developed complications.
Benchekroun
A
A
Clinique Urologique A, CHU Ibn Sina, Rabat Maroc.
Lachkar
A
A
Soumana
A
A
Farih
M H
MH
Belahnech
Z
Z
Marzouk
M
M
Faik
M
M
D000058:Accidental Falls / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000328:Adult; D001842:Bone and Bones / Q000293:injuries; D005260:Female; D005500:Follow-Up Studies; D006417:Hematuria / Q000209:etiology; D006801:Humans; D015994:Incidence; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D017116:Low Back Pain / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D009104:Multiple Trauma / Q000453:epidemiology; D009392:Nephrectomy / Q000009:adverse effects; D011183:Postoperative Complications; D012189:Retrospective Studies; D012421:Rupture; D017695:Soft Tissue Injuries / Q000150:complications; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014567:Urography; D014754:Violence / Q000706:statistics & numerical data
Les traumatismes du rein. A propos de 30 cas.